— 照護管理 · MEDIUM · SATA —
護理師對一位全髖關節置換術後準備出院的病患進行衛教，下列哪些指導內容是正確的？（選所有適合的）
A nurse is caring for a client who is being discharged after a total hip arthroplasty. Which discharge instructions should be included? (Select all that apply.)
- ADo not bend the hip beyond 90 degrees✓ 正解避免髖關節彎曲超過90度
- BAvoid crossing your legs at the knees or ankles✓ 正解避免膝蓋或腳踝交叉雙腿
- CUse an elevated toilet seat✓ 正解使用加高馬桶座
- DSleep with a pillow between your legs✓ 正解睡眠時雙腿間夾枕頭
- EResume driving immediately upon arriving home回到家後立即恢復駕駛
— Explanation · 中文詳解 —
髖關節置換術後衛教重點在於避免關節脫位。A、B、C、D 均為預防脫位的正確姿勢限制與輔助工具使用。E 選項錯誤，術後恢復期（通常 4-6 週）內不可開車，因藥物影響反應且關節活動度尚未完全恢復，必須由醫師評估許可後方可駕駛。
Discharge teaching after total hip arthroplasty focuses on preventing dislocation. Options A, B, C, and D describe correct posture restrictions and assistive device use. Option E is incorrect; driving is restricted for several weeks postoperatively until the surgeon evaluates strength, reaction time, and joint mobility.
✦ 台美臨床差異
美國物理治療師與護理師對輔具（如助行器、加高馬桶）的使用衛教非常深入；台灣則常由家屬代為購買，護理師需確認家屬了解使用方式。